For severe pimples, scars, and dark spots, there is no single over-the-counter cream that can cure everything. Severe acne usually requires prescription-strength treatments. I highly recommend consulting a dermatologist. For active pimples and dark spots, they may prescribe topical retinoids (like Tretinoin) or Azelaic acid, which help unclog pores and fade pigmentation. However, true physical acne scars (pitted or raised scars) rarely improve with creams alone and typically require dermatological procedures like microneedling, chemical peels, or laser therapy. In the meantime, apply a broad-spectrum sunscreen daily, as sun exposure worsens dark spots and slows down healing.

Since you are planning a pregnancy, you must avoid oral acne medications, retinoids, salicylic acid, and hydroquinone, as they can harm the baby. For dry skin, acne, and dark spots, topical Azelaic Acid (10% or 15%) is the safest and most effective option; it safely treats both breakouts and pigmentation. Pair this with a gentle, non-comedogenic moisturiser containing Hyaluronic Acid for dryness, and a pregnancy-safe mineral sunscreen daily. Your current supplements (Folvite MB, Sujat, Torchnil) are completely safe to continue. Please consult your OB-GYN or dermatologist before starting any new medicated skincare.